Vaglum S, Vaglum P
Psychiatric Department B, Ullevål University Hospital, Oslo, Norway.
Acta Psychiatr Scand. 1987 Nov;76(5):499-506. doi: 10.1111/j.1600-0447.1987.tb02910.x.
Sixty four consecutive female alcoholic psychiatric patients were interviewed about the causes to which they attributed the start of the abuse and the interaction between lifetime drinking career and partnerships. Thirty-three (51%) attributed the start to problems with partners (P-group): 21 drank to keep their partners, 12 drank when they were abandoned. Among the others (non P-group) four subgroups were identified: the social stigmatized group (n = 4), the parent abandoned group (n = 6), the teenage acting out group (n = 13), and the psychotic group (n = 7). Those who attributed the causes to a certain partnership (n = 33) were significantly older when the abuse started, more often divorced/separated, had more often had more than one alcoholic partner, less often a schizophrenic psychosis and more often a pure borderline personality disorder.
对64名连续就诊的女性酒精所致精神障碍患者进行了访谈,询问她们认为饮酒成瘾开始的原因,以及终生饮酒历程与伴侣关系之间的相互作用。33人(51%)将饮酒成瘾开始的原因归咎于伴侣问题(P组):21人通过饮酒留住伴侣,12人在被伴侣抛弃时开始饮酒。在其他患者(非P组)中,确定了四个亚组:社会污名化组(n = 4)、父母遗弃组(n = 6)、青少年行为失控组(n = 13)和精神病组(n = 7)。将饮酒成瘾原因归咎于某种伴侣关系的患者(n = 33)在开始滥用酒精时年龄显著更大,离婚/分居的情况更常见,有多个酗酒伴侣的情况更常见,患精神分裂症性精神病的情况较少见,而患单纯边缘型人格障碍的情况更常见。